Active NPI
Eickhoff Chiropractic and Nutrition
- Chiropractor
- Clifton, NJ
National Provider Identifier
1003296963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00724400
- Legal business name
- EICKHOFF CHIROPRACTIC AND NUTRITION
- Practice address
- 1011 Clifton Ave
Clifton, NJ 07013-3518 - Phone
- (973) 470-0687
- Fax
- (973) 470-0862
- NPI assigned
- Jun 5, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kayla Ann Aversa, D.C.
- Title
- Chiropractor
- Phone
- (315) 404-8190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00724400 | NJ | Primary |
Addresses
Primary practice location
1011 Clifton Ave
Clifton, NJ 07013-3518
Mailing address
111 Passaic Ave
Apt A7
Nutley, NJ 07110-3818
Phone (315) 404-8190
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433462400000",
"number": "1003296963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PASSAIC AVE",
"address_2": "APT A7",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071103818",
"telephone_number": "315-404-8190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133518",
"telephone_number": "973-470-0687",
"fax_number": "973-470-0862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EICKHOFF CHIROPRACTIC AND NUTRITION",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-05",
"last_updated": "2015-06-05",
"status": "A",
"authorized_official_last_name": "AVERSA",
"authorized_official_first_name": "KAYLA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "315-404-8190",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00724400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.